| NPI | 1043767643 |
|---|---|
| Other Name | THERESA RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60346077) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-03-24 |